Table 3.
Accuracy of the MDS in identifying Medicare payment source
| Total number of MDS assessments (% overall accuracy rate+) | California | New York | Ohio | Texas | ||||
|---|---|---|---|---|---|---|---|---|
| 417,246 (75.84%) | 519,799 (70.92%) | 423,550 (92.79%) | 441,122 (68.58%) | |||||
| Medicare | Medicaid | Medicare | Medicaid | Medicare | Medicaid | Medicare | Medicaid | |
| Number of assessments with payment source identified by MDS | 235,365 | 74,584 | 251,565 | 124,276 | 212,074 | 146,390 | 221,056 | 88,689 |
| Number of assessments with payment source identified by claims data | 220,681 | 151,535 | 227,180 | 244,888 | 199,952 | 161,617 | 190,033 | 192,221 |
| Number of MDS assessments validated by the claims data | 219,216 | 73,114 | 224,666 | 122,119 | 199,130 | 143,876 | 188,079 | 85,874 |
| False negative rate (%) | 0.66 | 51.75 | 1.11 | 50.13 | 0.41 | 10.98 | 1.03 | 55.33 |
| False positive rate (%) | 6.86 | 1.97 | 10.69 | 1.74 | 6.10 | 1.72 | 14.92 | 3.17 |
+
Percentage of the MDS assessments that can be validated by claims data